Pharmacy

Your Pharmacy Benefits

Make the most of your coverage with easy-to-use tools that help you manage your prescription medicines.

Read the Prime Therapeutics FAQs for Commercial employer plans to learn more.

2026

To find a network pharmacy or the cost of a prescription medicine through Prime Therapeutics^TM, select a plan below.

Medicare Members: visit our Medicare Pharmacy resources page.

Members enrolled in Medicaid and Enhanced Care Plus (HARP) receive prescriptions through NYRx, the Medicaid Pharmacy Program.

Get personalized information about your pharmacy coverage and manage all your benefits in one place on the myEmblemHealth member portal.

Pharmacy Resources

Learn more about your benefits below. Still have questions? We’re here to help. For pharmacy support, call EmblemHealth Customer Service at the number on your member ID card.

Female on computer with pill bottles at home

List of Covered Drugs

Our health plans cover a wide range of prescription drugs. Explore your plan and find out which drugs it covers.

man holding pill organizer and looking at a glass of water in kitchen

Medication Adherence

Taking your medicine as directed by your doctor or pharmacist is one of the most important things you can do for your health.

Convenient Delivery and Refills

Beginning Jan 1, 2026, we’re introducing Home Delivery from Amazon Pharmacy. Learn more about the program and exclusions.

Grievances and Appeals

Find out how to file grievances and appeals, request coverage decisions and determinations, and more.

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